Nature of Business and Summary of Significant Accounting Policies | 1. Nature of Business and Summary of Significant Accounting Policies Organization ZS Pharma, Inc. is a biopharmaceutical company focused on the development and commercialization of highly selective, non-absorbed drugs to treat renal, cardiovascular, liver and metabolic diseases. Our proprietary zirconium silicate technology allows us to create highly selective ion traps that can reduce toxic levels of specific electrolytes without disturbing the balance of other electrolytes. Our lead product candidate, sodium zirconium cyclosilicate, (or ZS-9), completed Phase III development for the treatment of hyperkalemia, a life-threatening condition in which elevated levels of potassium increase the risk of muscle dysfunction, including cardiac arrhythmias and sudden cardiac death. We submitted our New Drug Application, or NDA, in the United States on May 26, 2015, and we have been informed by the FDA that our Prescription Drug User Fee Act (PDUFA) goal date is May 26, 2016. We expect to submit our Marketing Authorization Application, or MAA, in Europe in the fourth quarter of 2015 with the goal of obtaining approval for the treatment of hyperkalemia in Europe. On June 17, 2014, our registration statement on Form S-1 (File No. 333-195961) relating to our initial public offering (IPO) of our common stock was declared effective by the Securities and Exchange Commission (SEC). Our shares began trading on The NASDAQ Global Select Market on June 18, 2014. The public offering price of the shares sold in the offering was $18.00 per share. The IPO closed on June 23, 2014 and included 6,836,111 shares of common stock, which included 891,667 shares of common stock issued pursuant to the option granted to the underwriters to purchase additional shares. We received total proceeds from the offering of $114.4 million, net of underwriting discounts and commissions of $8.6 million. After deducting offering expenses of approximately $2.3 million, net proceeds were approximately $112.1 million. Upon the closing of the IPO, all shares of convertible preferred stock then outstanding converted into 11,979,479 shares of common stock. Upon the effectiveness of the Amended and Restated Certificate of Incorporation of the Company on June 23, 2014, the number of shares of capital stock the Company is authorized to issue was increased to 255,000,000 shares, of which 250,000,000 shares are common stock and 5,000,000 shares are preferred stock. Both the common stock and preferred stock have a par value of $0.001 per share. There were no shares of preferred stock outstanding at September 30, 2015 or 2014. On March 30, 2015, we closed our follow-on public offering of 4,015,939 shares of our common stock. The public offering price of the shares sold in the offering was $46.25 per share. The total proceeds from the offering to us, net of underwriting discounts and commissions of approximately $11.1 million, were approximately $174.6 million. After deducting offering expenses of approximately $1.0 million, our net proceeds were approximately $173.7 million. Basis of Presentation The accompanying financial statements have been prepared in accordance with United States generally accepted accounting principles (U.S. GAAP) for interim financial information and in accordance with the instructions to Form 10-Q and Rule 10-01 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by generally accepted accounting principles for complete financial statements. The interim condensed balance sheet as of September 30, 2015, and the interim condensed statements of operations for the three and nine months ended September 30, 2015 and 2014, and the interim condensed statements of cash flows for the nine months ended September 30, 2015 and 2014, are unaudited. The unaudited interim condensed financial statements have been prepared on the same basis as the annual financial statements, and in the opinion of management, reflect all adjustments, which include only normal recurring adjustments, necessary to present fairly our financial position as of September 30, 2015, and our results of operations for the three and nine months ended September 30, 2015 and 2014, and cash flows for the nine months ended September 30, 2015 and 2014. The financial data and the other financial information disclosed in these notes to the financial statements related to the three month periods and nine month periods, are also unaudited. The results of operations for the three months ended September 30, 2015, are not necessarily indicative of the results to be expected for the year ending December 31, 2015, or for any other future annual or interim period. The condensed balance sheet as of December 31, 2014 included herein was derived from the audited financial statements as of that date. These financial statements should be read in conjunction with our audited financial statements included in our form 10-K, filed with the SEC. Reverse Stock Split In June 2014, our board of directors and our stockholders approved an amendment to our amended and restated certificate of incorporation to effect a reverse split of shares of our common stock on a 1-for-2.56437 basis (the Reverse Stock Split). The par values and the authorized shares of the common and convertible preferred stock were not adjusted as a result of the Reverse Stock Split. All issued and outstanding common stock, convertible preferred stock, options for common stock, warrants for common and preferred stock, and per share amounts contained in the financial statements have been retroactively adjusted to reflect this Reverse Stock Split for all periods presented. The Reverse Stock Split was made effective on June 11, 2014. Use of Estimates The preparation of the financial statements in accordance with U.S. GAAP requires management to make certain estimates and judgments that affect the reported amounts of assets, liabilities, and expenses. Actual results could differ from those estimates. We estimate our clinical trial expense accrual for a given period based on the number of patients enrolled at each site and the length of time each patient has been in the trial, less amounts previously billed, plus any ancillary clinical trial expenses that have been incurred but not yet recorded. We measure and recognize compensation expense for all stock options granted to our employees and directors, based on the estimated fair value of the award on the grant date. We use the Black-Scholes valuation model to estimate the fair value of stock option awards. The fair value is recognized as expense, net of estimated forfeitures, over the requisite service period, which is generally the vesting period of the respective award, on a straight-line basis. We believe that the fair value of stock options granted to non-employees is more reliably measured than the fair value of the services received. As such, the fair value of the unvested portion of the options granted to non-employees is re-measured each period. The resulting increase in value, if any, is recognized as expense during the period the related services are rendered using the accelerated method. The determination of the grant-date fair value of options using an option-pricing model is affected by our estimated common stock fair value, as well as assumptions regarding a number of other complex and subjective variables. Cash, Cash Equivalents and Short-Term Investments Our cash equivalents consist of highly liquid investments with maturities of 90 days or less at the date of purchase. Our marketable debt and equity securities have been classified and accounted for as available-for-sale. We determine the appropriate classification of our investments at the time of purchase and reevaluate the designations at each balance sheet date. We invest in highly-rated securities, and our investment policy limits the amount of credit exposure to any one issuer, industry group and currency. The policy requires investments to be investment grade, with the primary objective of minimizing the potential risk of principal loss and providing liquidity of investments sufficient to meet our operating and capital spending requirements and debt repayments. No security in our portfolio shall have a maturity date greater than 12 months at the time of purchase. We classify our marketable securities as either short-term or long-term based on each instrument’s underlying contractual maturity date and as to whether and when we intend to sell a particular security prior to its maturity date. Marketable securities with maturities greater than 90 days at the date of purchase and 12 months or less remaining at the balance sheet date will be classified as short-term. Our marketable securities are carried at fair value, with the unrealized gains and losses, net of taxes, reported in accumulated other comprehensive loss as a component of stockholders’ equity. Fair values are determined for each individual security in the investment portfolio. Interest income from our investment portfolio is recorded in interest/other income and is presented net of any discount accretion or premium amortization. Realized gains and losses on the sale of securities are determined by specific identification of each security’s cost basis. We may sell certain of our marketable securities prior to their stated maturities for strategic reasons including, but not limited to, anticipation of credit deterioration and liquidity and duration management. We continually review our available for sale securities to determine whether a decline in fair value below the carrying value is other than temporary. When evaluating an investment for other-than-temporary impairment, we review factors such as the length of time and extent to which fair value has been below its cost basis, the financial condition of the issuer and any changes thereto, and our intent to sell, or whether it is more likely than not it will be required to sell the investment before recovery of the investment’s cost basis. Once a decline in fair value is determined to be other than temporary, an impairment charge is recorded and a new cost basis in the investment is established. If we do not intend to sell the debt security, but it is probable that we will not collect all amounts due, then only the impairment due to the credit risk would be recognized in earnings and the remaining amount of the impairment would be recognized in accumulated other comprehensive loss within stockholders’ equity. We place our cash with institutions with high credit quality. However, at certain times such cash may be in excess of Federal Deposit Insurance Corporation and Securities Investor Protection Corporation insurance limits. The carrying amount of cash approximates fair value. The following is a summary of cash, cash equivalents and short-term investments (in thousands): Amortized Cost Gross Gross Estimated Fair September 30, 2015 Cash and money market funds $ 59,371 $ — $ — $ 59,371 Corporate bonds 80,234 11 (29 ) 80,216 Commercial paper 27,731 18 — 27,749 Government securities 29,802 4 (1 ) 29,805 Asset backed securities 9,804 — (2 ) 9,802 Total financial assets $ 206,942 $ 33 $ (32 ) $ 206,943 Reported As: Cash and cash equivalents $ 64,347 Short-term investments $ 142,596 $ 206,943 Amortized Cost Gross Gross Estimated Fair December 31, 2014 Cash and money market funds $ 36,534 $ — $ — $ 36,534 Corporate bonds 53,679 — (43 ) 53,636 Commercial paper 7,686 13 — 7,699 Government securities 4,411 — — 4,411 Total financial assets $ 102,310 $ 13 $ (43 ) $ 102,280 Reported As: Cash and cash equivalents $ 47,402 Short-term investments $ 54,878 $ 102,280 For the nine months ended September 30, 2015 and 2014, there were no significant realized gains or losses on the available-for-sale securities. All available-for-sale marketable securities held at September 30, 2015 and December 31, 2014 had maturity dates less than one year. Unrealized losses are recognized when a decline in fair value is determined to be other-than-temporary. As of September 30, 2015 and December 31, 2014, no investment was in a continuous unrealized loss position for more than one year, the unrealized losses were not due to changes in credit risk, and we believe that it is more likely than not that the investments will be held to maturity or a forecasted recovery of fair value. Restricted Cash On November 22, 2013, we executed an agreement to pledge, assign, transfer, and grant a security interest to J.P. Morgan Bank to secure the payment and performance of our credit card program. Pursuant to the terms of the agreement, we have agreed to maintain funds in a restricted cash account to support the credit limit of the program, given we are a pre-revenue company. As of September 30, 2015, the total balance in the restricted cash account is $500,000, and we have earned approximately $1,000 in interest income since inception of the account. In April 2015, we entered into a lease agreement with Park Place Realty Holding Company, Inc. (Park Place) for the lease of 37,874 square feet of office space to house our executive and commercial offices in San Mateo, California. Under the terms of the lease, we were required to provide Park Place with a letter of credit in the amount of $1.5 million as security for the tenant improvements that Park Place is making to the leased premises. The letter of credit is drawn against Silicon Valley Bank. Pursuant to the terms of the letter of credit agreement, we have agreed to maintain $1.5 million in a restricted cash account to support the credit limit of the letter of credit program. Fair Value Measurements ASC 820, Fair Value Measurement Financial assets and liabilities that have recurring fair value measurements are shown below (in thousands): Fair Value Measurements at Quoted Prices in Significant Significant Description Total Level 1 Level 2 Level 3 Financial Assets: Money market funds $ 34,432 $ 34,432 $ — $ — Corporate bonds 80,216 — 80,216 — Commercial paper 27,749 — 27,749 — Government securities 29,805 — 29,805 — Asset-backed securities 9,802 — 9,802 — Total financial assets $ 182,004 $ 34,432 $ 147,572 $ — Fair Value Measurements at Quoted Prices in Significant Significant Description Total Level 1 Level 2 Level 3 Financial Assets: Money market funds $ 22,142 $ 22,142 $ — $ — Corporate bonds 53,636 — 53,636 $ — Commercial paper 7,699 — 7,699 — Government securities 4,411 — 4,411 — Total financial assets $ 87,888 $ 22,142 $ 65,746 $ — Level 2 available-for-sale securities primarily consisted of: (i) bonds and notes issued by the United States government and its agencies, domestic and foreign corporations and foreign governments; (ii) preferred securities issued by domestic and foreign corporations; and (iii) asset-backed securities issued by domestic corporations. The estimated fair values of these securities are determined using various valuation techniques that incorporate standard observable inputs and assumptions such as benchmark yields, reported trades, broker/dealer quotes, issuer spreads, benchmark securities, bids/offers and other pertinent reference data. We believe the recorded values of cash and cash equivalents, other current assets, accounts payable, and accrued expenses approximate fair value because of the short maturity of these financial instruments. Income Taxes Income taxes are computed using the asset and liability method, and current income taxes are recorded based on amounts refundable or payable in the current year. Deferred income taxes are recorded based on the estimated future tax effects of loss carryforwards and temporary differences between financial statement carrying amounts of existing assets and liabilities and their respective tax basis. Deferred tax assets and liabilities are measured using enacted tax rates that are expected to apply to taxable income in the years in which we expect those carryforwards and temporary differences to be recovered or settled. Management regularly evaluates the future realization of deferred tax assets and provides a valuation allowance, if considered necessary, based on such evaluation. As part of the evaluation, management has evaluated taxable income in carryback years, future reversals of taxable temporary differences, feasible tax planning strategies, and future expectations of income. We continue to record a valuation allowance for the full amount of deferred tax assets, which would otherwise be recorded for tax benefits relating to the operating loss and tax credit carryforwards, as realization of such deferred tax assets cannot be determined to be more likely than not. The Company recognizes uncertain tax positions when it is more-likely-than-not, based on the technical merits, that the position will not be sustained upon examination. At September 30, 2015, the Company had no uncertain tax positions. Comprehensive Income (Loss) Comprehensive income (loss) is defined as the change in equity of a business enterprise during a period from transactions and other events and circumstances from non-owner sources. For the three months and nine months ended September 30, 2015, we had short-term investments that included unrealized gains and losses, which were reported in other comprehensive loss. For the three and nine months ended September 30, 2014, net loss equaled comprehensive loss. Net Loss per Common Share Attributable to Common Shareholders Basic net loss per share attributable to common shareholders is calculated by dividing the net loss attributable to common shareholders by the weighted-average number of common shares outstanding during the period without consideration for common stock equivalents. Diluted net loss per share of common stock is the same as basic net loss per share of common stock, since the effects of potentially dilutive securities are antidilutive. The net loss per share of common stock attributable to common shareholders was computed using the two-class method required for participating securities. Due to our net loss, there was no impact on the earnings per share calculation in applying the two-class method since the participating securities had no legal requirement to share in any losses. The following outstanding shares of common stock equivalents were excluded from the computations of diluted net loss per common share attributable to common shareholders for the periods presented as the effect of including such securities would be antidilutive: Nine Months Ended 2015 2014 Restricted stock units 65,657 — Options to purchase common stock 5,612,343 4,694,227 5,678,000 4,694,227 Recent Accounting Pronouncements In August 2015, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2015-15, Interest – Imputation of Interest (Subtopic 835-30): Presentation and Subsequent Measurement of Debt Issuance Costs Associated with Line-of-Credit Arrangements. Interest-Imputation of Interest (Subtopic 835-30): Simplifying the Presentation of Debt Issuance Costs, In May 2015, the FASB issued ASU No. 2015-07 , Fair Value Measurement (Topic 820): Disclosures for Investments in Certain Entities That Calculate Net Asset Value per Share (or Its Equivalent). In August 2014, the FASB issued ASU No. 2014-15, Presentation of Financial Statements—Going Concern: Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern In August 2015, the FASB issued ASU No. 2015-14, Revenue from Contracts with Customers |